PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
This is a continuing activity under COP09.
ACTIVITY UNCHANGED FROM FY2008
Reprogramming August08: Funding decrease $900,000. This funding was originally earmarked for FDC
mass media activities, a continuation of FY07 funding. The Mission met with FDC to understand the
reason for weak progress in their mass media activities through FY07 funds. FDC expressed that mass
media was not a strong technical area for them and that they wished to return to family-centered,
community-driven interpersonal communication activities for prevention. This re-programming will remove
mass media activity #2 MEN'S AND WOMEN'S CAMPAIGNS and will be re-programmed for mass
media/IEC/BCC/IPC between a local public-private-partnership (PPP) and an integrated USAID RFA (HIV,
health, rural livelihoods).
April08 Reporgramming Change: Reduced $100,000.
This is a continuing activity under COP08. The following is a replacement narrative.
This funding will continue FDC's community and school-based interpersonal communication programs and
its Mozambican-led mass media campaigns that nationally advocate for changes in AB behaviors and
norms. These activities have an increased focus on adult women and men. Specific interventions to
address cross-generational sex as well as transactional sex will be developed. Alcohol abuse and gender
norms as they relate to HIV risk will be addressed. To address gender issues, FDC will engage civil society
and the government in discussions that challenge norms, attitudes, values, and behaviors that increase
vulnerability to HIV/AIDS of Mozambican women and men of all ages. Stereotypes and expectations on
manhood and womanhood will also be discussed by girls, boys, men and women.
There are five components:
1. AB ESH! SCHOOL & COMMUNITY ACTIVITIES
The Schools without HIV/AIDS (Esh!) program operates in 27 districts (roughly 471 communities). School
based Esh activities include: student-led peer education; teacher-student-director collaboration for campus
lessons and activities on AB prevention; and parent-student-teacher activities to improve parent-child
communication on HIV, healthy behaviors, sexuality and broader issues. Community based Esh! activities
focus on out-of-school youth, parents and community leaders and include training of traditional leaders on
protective, community led alternatives to harmful initiation rituals; creating enabling environments for
delayed sexual debut and other AB behaviors; and continuation of a traveling information bus that provides
isolated, rural communities with access to information on HIV and protective AB behaviors, skills
development trainings for peer educators and adults, and facilitates fun and interactive sessions for all
community members.
3. GENDER
The focus of this component will be on reducing gender-based violence and coercion. Additionally, this AB
funding will permit FDC to take up legal issues that make it hard for women, especially married women, to
protect their families and prevent infection. Male norms and behaviors that increase risk of HIV transmission
may also be addressed in this program component.
4. WINDOW OF HOPE PROGRAMS
This funding will continue FDC's programs for youth under 14. AB Messages will focus primarily on delay of
sexual debut and abstinence for in-school youth.
5. REDUCING VULNERABILITY OF OVC TO HIV
Through its work in providing basic home services to OVC, this activity will provide age appropriate
information on prevention, sexual reproductive health and legal rights for OVC.
Targets have been adjusted from COP07 based on FY06 performance and FY07 partner projections.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14312
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14312 5283.08 U.S. Agency for Foundation for 6772 3674.08 USAID- $2,083,645
International Community Foundation for
Development Development, Community
Mozambique
Development-
GHAI-Local
9112 5283.07 U.S. Agency for Foundation for 5040 3674.07 USAID- $2,400,000
5283 5283.06 U.S. Agency for Foundation for 3674 3674.06 $1,700,000
International Community
Development Development,
Table 3.3.02:
Reprogramming August08: Funding decrease $200,000. This funding was originally earmarked for FDC
mass media activity funds from FDC and will be re-programmed for mass media/IEC/BCC between a local
public-private-partnership (PPP) and an integrated USAID RFA (HIV, health, rural livelihoods).
As this affects mass media, targets for this program area will not change.
This is a continuing activity under COP08, with the following update.
Using its signature community development approach, FDC works with community leaders (traditional,
political, religious, and civil society) to find local solutions to the transmission of HIV. C&OP funding will
continue to support and expand "AloVida", a free hotline which Mozambicans can call to ask questions
relating to HIV/AIDS and sexual health. It is the only such service in the country. It should be noted that
cell phone coverage in Mozambique is quite good, so this approach reaches many at-risk individuals who
could not otherwise be identified or contacted.
C&OP links with FDC programs in home-based care and OVC to provide behavior change communication
and counseling activities to clients and families. PROMETRA, a traditional healers association, is an FDC
partner working to address prevention through behavior change for healers, appropriate treatment of their
clients and leadership in the local communities. Targets have been adjusted to reflect FY07 projections.
(FDC did not have C&OP funding in COP06).
The FY2007 narrative below has not been updated.
This activity is linked to AB 9112 to support holistic ABC programming by the Foundation for Community
Development (FDC). The FDC is the foremost Mozambican NGO dedicated to protection of the family,
improvement of the status of women and prevention of HIV/AIDS. Behavior change activities developed by
FDC have been cutting edge, and willing to address controversial issues such as older men having sex with
young women and the impact of migratory labor patterns on transmission of HIV. This activity will provide
support for broad campaigns addressing these gender issues and supporting comprehensive ABC
programming. Additionally, this C&OP funding will permit FDC to take up legal issues that make it hard for
women, but especially married women, to protect their families and prevent infection. FDC may implement,
but is not limited to, a variety of advocacy activities such as press conferences, issues packets of
information; IEC activities complementary to AB activities with youth; specific holistic programming with
OVC; work with community leaders.
This activity will focus on priority behaviors for behavior change including multiple concurrent partner ,
transactional and cross-generational sex. Plus-up funding will allow FDC to increase C and OP activiites, or
to initiate activities with other at risk populations such as MSM.
Continuing Activity: 14313
14313 9152.08 U.S. Agency for Foundation for 6772 3674.08 USAID- $500,000
9152 9152.07 U.S. Agency for Foundation for 5040 3674.07 USAID- $580,000
Table 3.3.03:
April09 Reprogramming: Increased $300,000.
This is a continuing activity under COP08 with the same targets and a slightly lower budget then in FY2007.
Under COP08 the program will create new, and utilize existing, community to clinic and clinic to community
referral systems to ensure that PLWHA are accessing treatment and other necessary services, particularly
food, to improve their health status. WFP, in conjunction with PEPFAR treatment partners including PSI,
will work to improve provision of food and nutrition to PLWHA registered at treatment sites based on clinical
and nutritional assessments. This model helps ensure that individuals are accessing health care and
receiving services along with food supplementation. The standard for determining malnutrition will be based
on adult non-preg/lact women patients with a BMI <18.5 at entry into the program. The food supplement
consists of short-term emergency food support. Please refer to the treatment activity sheet for WFP for
funding levels and targets.
This activity is related to HVAB 9112, C&OP 9152, HVTB 9127 and HBHC 9131.
In this activity, the Foundation for Community Development (FDC), through local CBO/FBO sub-grantees,
will continue to provide a palliative care services to people affected by HIV/AIDS in the Maputo Corridor
(Maputo City, Maputo Province, Gaza and Inhambane). This activity will continue to provide support to HBC
providers who have received services with previous FY 2004-06 funds, and will extend services in FY07 to
reach 12,000 persons with home-based palliative care as defined by the Ministry of Health and the USAID
Mission and train 1,200 persons in home-based palliative care.
FDC is the USG's only national NGO partner. FDC started HIV/AIDS activities in the high prevalence area
of the Maputo Corridor in 2001 - before PEPFAR. One of the main goals of FDC is to assist community
based NGO in managing their own programs and accessing funds from a variety of sources. To this end,
they are currently working with 19 sub-partners (including the provision of small grants) who are in turn,
supporting 44 other groups and associations members. These CBO and FBO work with community based
programs supporting HBC and OVC. To date, FDC and their partners are providing HBC services for 9,600
individuals and trained 302 people in provision of HIV-related palliative care according to MOH guidelines.
FDC work with community based organizations is as varied as are the communities. Most communities in
the southern region have some formalized community leadership structure. FDC's sub-partners mobilize,
engage and involve leaders of the committees/counsels to support OVC and HIV infected people. Sub-
partners work closely with clinic personnel to ensure treatment adherence and refer clients to other clinical
services as needed. Community "activistas" are trained in advocacy to access other social programs, such
as welfare, emergency food rations, etc. FDC has begun a program on providing psychosocial support for
HBC providers to meet their physical, psychological and social needs. Partnering with WFP provides
emergency rations for ART patients in treatment adherence.
FDC supports ANEMO (Mozambican Nurses Association), with a sub-grant to provide HBC services directly
to the chronically ill in urban barrios. These people have ready access to treatment services and the nurses
provide medicines for pain management and open sores, prevalent in the later stages of AIDS. FDC also
initiated the Master Training of Trainers Program which is a highly successful method for training HBC
trainers from NGOs and CBOs. It is expected that this cadre of 7 Master Trainers will be used for other
palliative care training such as treatment adherence, OI and STI trainings.
Under COP07, mechanisms will be put in place to improve the community to clinic linkages. Although,
NGOs were encouraged to liaise with local clinics, many volunteers were comfortable working at the
community level only. In FY07, volunteers will be required to work along with clinics in caring for PLWHA
on ART, with TB patients, patients with OI, STI and other conditions. At least 50% of all HBC clients will
need to have a clinic record. Treatment adherence also will be supported by a related USG activity to
ensure TB and HIV patients are taking their medicines and not experiencing any overt reactions. In addition,
volunteers will be trained to further recognize OIs and to refer clients to the clinic for proper follow-up.
Coupons for transport or use of bicycle ambulances will be used to ensure clients attendance. Further
training will be held to ensure that HBC supervisors, and volunteers have the necessary skills to handle
these new activities.
Under COP07, capacity building of local CBO/FBO will continue with fervor. With a UGS funded AED
program, tools and materials will be available for NGOs to use with their nascent CBO in provide quality
services and assess and manage outside funding. AED will also provide training on several general topics
(on functional organizations, strengthened management, leadership, advocacy, financial management, etc.)
which will be open to all NGOs and their partners.
General Information about HBC in Mozambique:
Home-based Palliative Care is heavily regulated by MOH policy, guidelines and directives. USG has
supported the MOH Home-Based Palliative Care program since 2004 and will continue with the same basic
program structure including continued attempts of strengthening quality of services to chronically ill clients
affected by HIV/AIDS. In FY02, the MOH developed standards for home based care and a training
curriculum which includes a practicum session. Trainers/supervisors receive this 12 day training and are
then certified as trainers during their first 12 day training of volunteers. A Master Trainer monitors this first
training and provides advice and assistance to improve the trainers' skills and certifies the trainer when skill
level is at an approved level. All volunteers that work in HBC must have this initial 12 training by a certified
trainer and will also receive up-dated training on a regular basis. The first certified Master Trainers were
MOH personnel. Then ANEMO, a professional nursing association, trained a cadre of 7 Master Trainers
who are now training Certified Trainers, most of whom are NGO staff who provide HBC services in the
community. In the next two years, ANEMO will train and supervise 84 accredited trainers who will train
Activity Narrative: 7,200 volunteers, creating the capacity to reach over 72,000 PLWHA.
In addition, the MOH designed 4 levels of "kits" one of which is used by volunteers to provide direct services
to ill clients, one is left with the family to care for the ill family member, one is used by the assigned nurse
which holds cotrimoxazole and paracetamol and the 4th kit contains opiates for pain management which
only can be prescribed by trained doctors. The kits are an expensive, but necessary in Mozambique where
even basic items, such as soap, plastic sheets, ointment, and gentian violet are not found in homes. USG
has costed the kits and regular replacement of items at $90 per person per year; NGOs are responsible for
initial purchased of the kits and the replacement of items once they are used up except for the prescription
medicine, which is filled at the clinics for the nurses' kits. An additional $38 per client per year is provided to
implementing NGOs to fund all other activities in HBC, e.g. staff, training, transport, office costs, etc.
MOH also developed monitoring and evaluation tools that include a pictorial form for use by all volunteers,
many of whom are illiterate. Information is sent monthly to the district coordinator to collate and send to
provincial health departments who then send them on to the MOH. This system allows for monthly
information to be accessible for program and funding decisions.
In FY06, the initial phase of the assessment of home-based care will be completed. Recommendations
from this assessment will inform the MOH on how to improve the palliative care services delivered at
community level and what is needed to strengthen the caregivers. Training in psychosocial support is
beginning to roll out and is meant to support HBC caregivers as well as the clients and their families. In
Zambezia, it was reported that 40% of the HBC clients died during a recent 3 month period. This puts a lot
of stress on the volunteer caregiver, who needs support to continue to do his/her job faithfully. A pilot
project in three locations will support an integrated care system, strengthening relevant government offices
as well as NGOs. The more varied resources, such as food, education, legal and other social services, that
are available to the chronically ill, the stronger the overall program.
Continuing Activity: 14314
14314 5321.08 U.S. Agency for Foundation for 6772 3674.08 USAID- $950,000
9132 5321.07 U.S. Agency for Foundation for 5040 3674.07 USAID- $1,000,000
5321 5321.06 U.S. Agency for Foundation for 3674 3674.06 $500,000
Table 3.3.08:
April09 Reprogramming: Increased $503,117.
This is a continuing activity under COP08. In FY08, $450,000 in additional funding has been allocated to
FDC to allow them to expand OVC activities, reaching an additional 4,000 OVC with at least three services.
FDC will target increased OVC activities in Inhambane and Gaza provinces where it is noted that existing
HBC activities do not have any linkage to OVC activities. The organization will continue to seek out the most
vulnerable OVC, with a special empahasis on those living with a single, bed-ridden parent or living with an
elderly person, in order to refer them to "Reference Families", neighbors accepting co-responsibility for
OVC. This community-based model of caring for OVC is able to take place as FDC and its Sub-partners,
which are local organizations with extensive cultural understandings of targeted communities, and have a
unique relationship with their communities.
A portion of the increased funding will allow FDC to replicate their income generation project in Maciene
which targets OVC and their caregivers. The current Maciene project in Gaza provides vocational training in
crafts production and basic business management enabling participants to produce high-quality crafts which
are sold at a profit, benefiting OVC and their caregivers. The model has proven successful and resulted in
exportation of goods to neighboring countries in Southern Africa. The model not only benefits the OVC and
their caregivers but provides community members with added income as the mostly organic materials are
purchased locally. $150,000 will be allocated to this activity.
FDC will no longer continue to provide technical assistants seconded to the central Ministry of Women and
Social Action under COP08. This activity will be funded through other donors and NGOs during FY08
allowing the USG to focus TA for MMAS at the provincial level.
The program will partner with WFP to support the nutritional needs of the most vulnerable OVC and their
families through provision of short-term emergency food support. Please refer to the activity sheet for WFP
for funding levels and targets. In collaboration with PSI, FDC will distribute LLIN and Safe Water Systems
(SWS - "Certeza") to OVC in an effort to improve the health status of children and their families.
The below activity narrative from FY2007 has not been updated.
This activity is related to: HBHC 9132; HVAB 9112; HVOP 9152; HVTB 9127 and OHPS 9212.
will continue to provide a basic care package of services to OVC in the Maputo Corridor (Maputo City,
Maputo Province, Gaza and Inhambane). This activity will continue to provide support to OVC who have
received services with previous FY 2004-2006 funds, and will extend services in FY07 to reach 17,770 OVC
with the six essential services, as defined by the Mission and the Ministry of Women and Social Action and
train 1,185 people to provide services to OVC and their caregivers.
The FDC is the USG 's only national NGO partner. The FDC started HIV/AIDS activities in the high
prevalence area of the Maputo Corridor in 2001 - before PEPFAR. One of the main goals of FDC is to
assist community-based NGOs in managing their own programs and accessing funds from a variety of
sources. To this end, they are currently working with 19 sub-partners (including the provision of small
grants) who are, in turn, supporting 44 other groups and association members. These CBOs and FBOs
work with community-based programs supporting HBC and OVC. To date, FDC and their partners are
providing services for 19,145 OVC, well above their target of 16,900.
The FDC works with community-based organizations that are as varied as the communities. Most
communities in the Southern region have some formalized community leadership structure. FDC's sub-
partners mobilize, engage and involve leaders of the committees/counsels to support OVC and HIV-infected
people. OVC that are found to be on their own, living with a single bed-ridden parent or living with an elderly
person are provided with "Reference Families" who are neighbors that accept co-responsibility for the OVC.
Sub-partners will work closely with clinic personnel to ensure that free health care is provided to vulnerable
infants and children. Community "activistas" will be trained in advocacy and skills to access other safety net
programs for which OVC are eligible, such as welfare, emergency food rations, vocational training, etc. FDC
has began a program on providing psychosocial support for OVC, especially for child-headed households
and those children who are in the "window of hope" age group (10 years and under) through linking with AB
activities funded under PEPFAR. The program will also target activities at older widows and widowers who
are caregivers for many OVC and empower them to better care for the children and meet their physical,
psychological and social needs. Partnering with Habitat for Humanity (a sub-grantee under PEPFAR), FDC
has been able to build 8 houses for OVC and their households, while providing training in house building for
older OVC as a trade skill. Partnering with WFP allows emergency rations for the very needy children in
these drought prone areas; food supplements also benefit ART patients in treatment adherence.
During this past year, FDC, with USG support, provided two technical assistants seconded to the Ministry of
Women and Social Action to strengthen ministry personnel in OVC and related HIV/AIDS programs, policy
development and monitoring and evaluation. A follow-on to this activity will be continued through another
USG-supported mechanism that will include a provincial focus.
During COP07, the FDC will be working in collaboration with the Children and Family Initiative to assist the
Ministry with drafting, disseminating and implementing appropriate legislation consistent with international
standards for child protection ($30,000). The FDC will also be coordinating and expanding existing
programs of non-governmental organizations dealing with child protection and family support in close
collaboration with the Child and Family Initiative. ($20,000)
Continuing Activity: 14316
14316 5320.08 U.S. Agency for Foundation for 6772 3674.08 USAID- $1,448,430
9148 5320.07 U.S. Agency for Foundation for 5040 3674.07 USAID- $1,048,430
5320 5320.06 U.S. Agency for Foundation for 3674 3674.06 $600,802
Table 3.3.13:
